Individual
KIRSTEN LEE DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1029 W CENTRAL ENTRANCE, DULUTH, MN 55811
(952) 835-4512
Mailing address
7825 3RD ST N STE 105, OAKDALE, MN 55128-5444
(952) 835-4512
(952) 516-5655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9075
MN
Other
Enumeration date
07/20/2012
Last updated
12/06/2018
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